After preparing a client's skin for insertion of an intravenous ...

[misspop]

After preparing a client's skin for insertion of an intravenous catheter, the nurse accidentally touches the skin site with an uncovered finger. Which of the following should the nurse do?
 
  1. Cleanse the skin again.
  2. Apply clean gloves and continue.
  3. Locate another vein to access.
  4. Continue with the insertion of the catheter.

Question 2

During the period of time when a client diagnosed with a terminal illness became comatose, a health care proxy made decisions about the client's care.
 
  When the client regained consciousness a few days later, the nurse consulted whom regarding the client's ongoing care decisions?
  1. The client
  2. The health care proxy
  3. The client's family
  4. The client's physician

[Pswine]

Answer to Question 1

1
Once the site is prepared, the nurse should not touch the site unless sterile gloves are worn. If the site is touched by unprotected skin, the nurse should cleanse the skin again. The nurse should not apply clean gloves and continue. The nurse does not need to locate another vein to access. The nurse should not continue with the insertion of the catheter since this can lead to an infection of the site.

Answer to Question 2

1
A health care proxy is in effect whenever the client is unable to communicate and ceases to be in effect as soon as the client regains decision-making capacity. The nurse should consult with the client regarding the client's ongoing care decisions. The nurse should not consult with the health care proxy, the family, or the physician.